AVERA GREGORY HOSPITAL
Critical Access Hospitals
16
Procedure Prices at AVERA GREGORY HOSPITAL
EKG Interpretation
CPT 93010
$9.35
OB CBC W/Auto Diff
CPT 85025
$32.3
Venipuncture
CPT 36415
$37.05
Est Patient Level 3
CPT 99213
$53.93
EKG Tracing
CPT 93005
$60.35
Mechanical Traction
CPT 97012
$77.35
Therapeutic Exercises
CPT 97110
$110.5
ER Visit — Low-Moderate Complexity
CPT 99283
$118
Therapeutic Activities
CPT 97530
$131.75
Comprehensive Metabolic Panel
CPT 80053
$202.3
ER Visit — Moderate Complexity
CPT 99284
$211.13
ER Visit — High Complexity
CPT 99285
$283.9
Chest X-Ray (1 view)
CPT 71045
$302.6
Screening Mammogram (bilateral)
CPT 77067
$366.3
Chest X-Ray (2 views)
CPT 71046
$404.6
Diagnostic Mammogram (unilateral)
CPT 77065
$404.6
Diagnostic Mammogram (bilateral)
CPT 77066
$483.3
Thoracic Spine X-Ray
CPT 72072
$490.45
OB Ultrasound
CPT 76805
$565.25
Abdominal Ultrasound — Limited
CPT 76705
$672.35
Retroperitoneal Ultrasound
CPT 76770
$773.5
Abdominal Ultrasound
CPT 76700
$1,086.3
Echocardiogram w/ Doppler
CPT 93306
$1,658.35
CT Chest
CPT 71250
$1,878.5
MRI Brain w/o Contrast
CPT 70551
$2,759.95
MRI Joint of Lower Extremity
CPT 73721
$3,383
MRI Brain w/ Contrast
CPT 70553
$5,058.35
CT Abdomen & Pelvis
CPT 74177
$5,697.55
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.